Aetna

[conner281 2]

I just had my surgery Thursday. I get my claims set to me online. I was self pay but since I had a hiatal hernia repaired at the same time, I only paid $5,500 out of pocket. It looks like True Results billed aetna $17,500 for the EGD and $29,000 for the hernia repair! I don't know what to do but I can't be responsible for them battling it out, right? I paid my portion as agreed upon. I'm assuming if I owed more, TR would have billed me before the procedure? Anyone had this situation?

[lolarose13 147]

I have the same problem! I just posted a thread about this. Please let me know if you know something. I used True Results with United Health Care.

[blondegal_ 1,028]

I was self pay and used True Results. I ended up also having a hernia repaired. BCBS sent me info saying I MAY owe xx amount but 7 months later True Results has never sent me an additional bill. I think now days insurance companies deny claims first time they are submitted. I say don't worry and don't ask until you get an actual bill. And then ask them to resubmit the claim, use the services of your insurance rep (most companies that provide employees insurance have one but don't always makes that known), and if you must set up a payment plan. And don't agree to any amount that will stress your budget. Tell me what you can pay and be firm. Make them see they'll still get their money otherwise they get none.

[conner281 2]

#

Edited March 16, 2014 by conner281